国际妇产科学杂志

国际妇产科学杂志 ›› 2011, Vol. 38 ›› Issue (2): 105-107.

• 综述 • 上一篇    下一篇

腹腔镜术中CO2气腹对腹膜及腹腔内环境的影响

贾 燕 王永红   

  1. 030001 太原,山西医科大学第二医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-04-15 发布日期:2011-04-15
  • 通讯作者: 王永红

Research Advancement on the Influence of CO2 Pneumoperitoneum During Laparoscopic Surgery on Peritoneum and Internal-abdomen Environment

JIA Yan, WANG Yong-hong   

  1. Department of Obstetrics and Gynecology, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China Corresponding author: WANG Yong-hong, E-mail: wangyh19672000@yahoo.com.cn
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-04-15 Online:2011-04-15
  • Contact: WANG Yong-hong

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摘要： 近年腹腔镜手术在妇科领域广泛应用。与传统开腹手术相比，腹腔镜手术在二维影像下操作，需要以气腹暴露手术视野。随着腹腔镜手术例数的增加及手术范围的扩大，逐渐认识了腹腔镜手术并发症，如二氧化碳（CO2）气腹可导致腹膜间皮细胞肿胀、连接中断及基底膜裸露，可抑制腹腔内巨噬细胞、自然杀伤（NK）细胞和T淋巴细胞活性等。综述腹腔镜手术中CO2气腹对腹膜及腹腔内环境影响的相关研究。

关键词: 二氧化碳, 腹膜, 巨噬细胞, 杀伤细胞, 天然, T淋巴细胞

Abstract: In recent years, with the development of minimally invasive technique, laparoscopic surgery in gynecology field has been gradually dominant and tends to replace the traditional laparectomy surgery. Compared with the traditional surgery, laparoscopic surgery in 2D images, needing pneumoperitoneum to exposure the surgical field. With the increase in the number of cases of laparoscopic surgery and surgical expansion of the scope surgery, the complications of laparoscopic surgery has gradually been recognized. CO2 pneumoperitoneum can lead to peritoneal mesothelium cell swellon, connection terminated and basement membrane became exposed, inhibit the activity of abdominal macrophage, NK cells, T lymphocytes. This article will review the influence of CO2 pneumoperitoneum on peritoneum and internal-abdomen environment.

Key words: Carbon dioxide, Peritoneum, Macrophage, Killer cells, natural, T-lymphocytes